EmailMe Form - Off-Campus Housing Application

Enrollment status *

New Freshman

New Transfer

Readmit

Returning

Graduate

(Freshman and sophomore students must live on campus unless they meet criteria outlined in the Housing Waiver Application).

Residence Status *

Off-Campus (No in-person classes)

Commuter (1 or more in-person classes)

Semester Enrolling *

Fall

Spring

Year Enrolling *

Name *

First MI Last Suffix

Student ID Number *

Is your permanent address the same as your off-campus or commuter address? *

Yes

No

Off-Campus or Commuter Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Phone Number Type *

Mobile

Landline

Email *

If you are a freshmen or sophomore, please select one of the following requirements needed to live off campus? *

Live with a parent or legal guardian within a 50-mile radius to the campus

21 years of age (Driver’s License or Government Issued ID required)

A veteran with 180 or more consecutive days of military service (official documentation required)

Married (copy of marriage license)

Other

If you are requesting to live off-campus for reasons other than one of the above approved reasons, please indicate your reason below: *

Checkbox *

I attest that all information on this form is correct to the best of my knowledge.